Behavioral Health Pre-Authorization Coordinator (remote in Oregon)

Description

Greater Oregon Behavioral Health, Inc. (GOBHI) has an immediate opening for a Clinical Services Associate. This position will be based out of the employee’s home office, which can be located within the State of Oregon.

The Clinical Services Associate is responsible for providing support on the Clinical Services team. This position assures that Utilization Management (UM) authorization requests are processed in a timely manner in the EHR database.

Essential duties include:

• Completes data entry for all incoming UM requests.
• Reviews and follows-up on all authorizations with providers if there is any missing information before entering into HMS Essette database.
• Review authorization requests for minimum required documentation, based on UM standards.
• Communicate barriers and requests for modification to UM Coordinators in charge of authorization.
• Document concerns / issues associated with authorizations.
• Receives and helps with member phone calls.
• Responsible for checking the UM email folder throughout the day.
• Responsible for checking Provider credentials.
• Notifications of acute admission and open in Essette.
• Responsible for taking Emergency Department report notes.
• Work with UM / CM teams to maintain workflow productivity.
• Answer provider and member calls, transferring when appropriate.
• Provides back-up to Clinical Services Coordinator as needed.
• Performs other related duties as assigned.

Requirements

What is needed to succeed in this role:

• Three years experience working in a medical office setting.
• Behavioral Health knowledge preferred.
• Experience working with CPT codes and billing procedures preferred.
• Excellent time management and organizational skills.
• Ability to communicate effectively at multiple levels.
• Technology Savvy – proficient in Microsoft Office software and/or Google Suites software.
• Education – High School diploma or equivalent.

What we offer:

• Competitive salary – starting at $45,000.00
• Bilingual Differential - $4,000 annually added compensation for bilingual skills
• Medical, dental and vision insurance for you and dependents
• Generous paid time off
• Company paid life and long-term disability insurances
• EAP
• FSA, with a $500 employer contribution
• Triple AAA insurance
• Mileage reimbursement
• Wellness benefits
• 401k contribution, including 6.5% employer contributions
• Cell phone and internet reimbursements

About GOBHI:

Founded in 1994, Greater Oregon Behavioral Health, Inc. is an innovative behavioral health organization that serves communities across Oregon. GOBHI is a 501(c)(3) nonprofit corporation that is charged with administering the behavioral health Medicaid benefit, non-emergent medical transportation and community engagement in 12 rural and frontier counties in Oregon.

GOBHI is a co-owner of the Eastern Oregon Coordinated Care Organization, along with Moda Health, and also provides various direct services statewide. GOBHI is committed to better health, better care, and lower costs. Please visit www.gobhi.org to learn more about our mission and services.